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Section-05 Vaginal Hysterectomy for Endometrial Cancer

BOOK TITLE: Advanced Vaginal Surgery

Author
1. Sheth Shirish S
ISBN
9789352700172
DOI
10.5005/jp/books/14124_7
Edition
1/e
Publishing Year
2018
Pages
20
Author Affiliations
1. Breach Candy Hospital, Sir Hurkisondas Nurrotamdas Hospital and Sheth Nursing Home, 2/2, Navjivan Society, Lamington Road, Mumbai, India, e-mail:silsal@bom2.vsnl.net.in, Breach Candy Hospital and Sir Hurkisondas Nurrotamdas Hospital, Mumbai, silsal@bom2.vsnl.net.in, Sir Hurkisondas Nurrotamdas and Saifee Hospitals, Mumbai, Maharashtra, India, Breach Candy Hospital and Sir Hurkisondas Nurrotamdas Hospital, Mumbai, Maharashtra, India, Breach Candy Hospital, Sir Hurkisondas Hospital and Saifee Hospital, Mumbai, Maharashtra, India, Mumbai, King Edward Memorial Hospital and Seth GS Medical College, Mumbai, Maharashtra, India (1964–1994); International Federation of Gynecology and Obstetrics (FIGO) from 2000–2003; Breach Candy and Saifee Hospitals, Mumbai, Maharashtra, India, Breach Candy, and Saifee Hospitals, Mumbai, Maharashtra, India; International Federation of Gynecology and Obstetrics (FIGO), 2000-2003
Chapter keywords
Vaginal hysterectomy, endometrial cancer, bilateral salpingo-oophorectomy, BSO, laparoscopic cholecystectomy, endometrial adenocarcinoma, postmenopausal bleeder

Abstract

This section focuses on vaginal hysterectomy for endometrial cancer. Treatment that early endometrial cancer commonly requires is hysterectomy plus vaginal cuff with BSO. Selective cases need additionally lymph nodes removal and more and similarly, select cases may not need salpingooophorectomy. Interestingly, large trials for the management of endometrial CA are that of abdominal versus laparoscopic hysterectomy emphasizing minimally invasive surgery but without even mention of the vaginal route. This section comprises of 9 sections that are described as VH plus vaginal cuff with BSO: postmenopausal bleeder with endometrial complex hyperplasia with atypia, VH plus vaginal cuff with BSO: postmenopausal bleeder with corpus cancer syndrome for endometrial cancer (CA), VH plus vaginal cuff with BSO for endometrial CA, VH plus vaginal cuff with BSO for endometrial complex hyperplasia with atypia, corpus CA syndrome plus a history of cardiac bypass, VH plus vaginal cuff with BSO for well-differentiated endometrial adenocarcinoma, and VH plus vaginal cuff with BSO plus laparoscopic cholecystectomy for postmenopausal bleeder with multiple gallstones.

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